Magnolia Home Health Agency

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

169423 Issued in CO

Legal business name

MAGNOLIA HOME HEALTH AGENCY

Practice address

6120 Moccasin Pass CT
Colorado Springs, CO 80919-4433

Phone

(719) 302-4682

NPI assigned

May 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott Edward Harrison

Title

Administrator

Phone

(719) 302-4682

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972555118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 MOCCASIN PASS CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194433",
            "telephone_number": "719-302-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 MOCCASIN PASS CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194433",
            "telephone_number": "719-302-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-302-4682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "169423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mafi
• Micah Magee, M.S., CCC-SLP
• Morgan Maggard
• Magic View, LLC
• Damon Magness
• Patricia Marie Magnus
• Kristin Magnuson, PMHNP-BC
• Robert Nils Magnuson
• Sarah Magnuson, PTA
• Whitney Magowan, RN

• Skilled Nursing Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.